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Organization
DOUGLAS CLARK
Active
Organization
DOUGLAS CLARK
Active
Other names
Community Care Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS MARLEY CLARK PAC (OWNER)
(865) 590-0072
Entity
Organization
Contact information
Practice address
2317 SOUTH ROANE STREET, HARRIMAN, TN 37748
(865) 590-0072
(865) 590-0069
Mailing address
2317 SOUTH ROANE STREET, HARRIMAN, TN 37748
(865) 590-0072
(865) 590-0069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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